Order Form

Billing Address:	Ship To address or (Same as billing address)
Name:	Name:
Address:	Address:
City:	City:
State:	State:
Zip Code:	Zip Code:
Telephone:	Telephone:
E-Mail:	E-Mail:

Quantity	Description	Unit Price	Total
	Udderly EZ Mare Milker Kit (includes two collection bottles)	$159.95
	Udderly EZ Milker for Sheep & Goats	$183.95
	Udderly EZ Milker Stable Bag	$19.95
	EZ Milker Two Pack Collection Bottles	$7.95
	EZ Milker Collection Bottles - One Dozen	$41.95

Total Order $______________________

Shipping charges will be added at time of shipment

Credit Card Information Visa ______ MasterCard ______

Card Number_______________________________________________

Expiration Date _____________________________________________

Please fax to Greenwood Equine Equipment at 816-537-4213